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General NPI Number Information
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NPI Number | 1912256033
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Entity Type | Individual
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Provider Name | YAN WANG FNP-BC, DCNP, MSN
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 13259 41ST RD STE CB
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City | FLUSHING
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State | NY
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Zip | 11355-4256
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Country | US
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Telephone | 917-962-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 289 KILBURN RD S
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City | GARDEN CITY
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State | NY
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Zip | 11530-5326
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Country | US
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Telephone | 516-790-2722
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F337238
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License Number State | NY
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